Nurse Appeals Job Family jobs
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| Dec 24 | Registered Nurse - Care Coordinator - Utilization Review - PRN | Park City Medical Cntr | Park City, UT |
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payment for services provided. Prepares appeals upon receipt of denials to negotiate ... Care Six state-of-the-art Operating Rooms Family & Internal Medicine Orthopedic &... more |
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| Dec 23 | Nurse Case Manager | Beth Israel Deaconess Medical Center | Boston, MA |
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Job Title Nurse Case Manager Requisition Number 09-2660 Organization Beth ... Attends BIDMC/BIDPHO UM meetings to support retrospective case appeals... more |
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| Dec 23 | Nurse Case Manager | Beth Israel Deaconess Medical Center | Boston, MA |
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Job Title Nurse Case Manager Requisition Number 09-2661 Organization Beth ... Attends BIDMC/BIDPHO UM meetings to support retrospective case appeals... more |
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| Dec 23 | RN, Open Heart Recovery (CCR) | Charlotte Regional Medical Center | Punta Gorda, FL |
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Medical Center We know you by heart With a family-like atmosphere, current technology, ... unit in collaboration with the patient, family, and health care team. Directs and... more |
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| Dec 23 | HEMODIALYSIS RN - Dialysis | Charlotte Regional Medical Center | Punta Gorda, FL |
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of ancillary staff. May function as charge nurse. Functions on the nursing unit as ... unit in collaboration with the patient, family, and health care team. Directs and... more |
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| Dec 23 | Care Manager - Care Coordination | Swedish Medical Center | Seattle, WA |
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Ability to educate physicians, caregivers, patient, family, payor and/or administrative ... Nurse, Certified Nurse, Licensed Nurse, WA License RN, Staff RN, Nursing, Nurse,... more |
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| Dec 22 | Nurse Medical Management (Job Family) | WellPoint | Albany, NY |
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accurate claims payment. May also manage appeals for services denied. Primary duties may include, but are not limited to: Conducts pre-certification, concurrent, retrospective,... more |
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| Dec 22 | Registered Nurse - Care Coordinator - Utilization Review - PRN | Intermountain Healthcare | Park City, UT |
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Must demonstrate management and leadership skills. Job : Utilization Review / Care ... Cntr Schedule : Part-time Shift : Day Job Working Hours (per week) : 0 Please... more |
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| Dec 22 | Physician Case Reviewer / Sr. Physician Case Reviewer - AIM - 41803 | WellPoint | Westchester, IL |
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and Nuclear Cardiology following initial nurse review * Determine medical necessity ... physicians, physician assistants, and nurse practitioners to provide education... more |
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| Dec 22 | Mangaged Care RN , Case Manager , long term care industry | Sunbridge Healthcare | Albuquerque, NM |
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Form Details Location: NM - Albuquerque Job Type: Health Care Nurse Base Pay: N/A ... * Consult Social Worker immediately for all identified social, customer/family problems... more |
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| Dec 21 | Nurse Appeals (Job Family) | WellPoint | Woodland Hills, CA |
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of member and provider grievances and appeals. Reviews prospective, concurrent or ... Medical Director for approval. Ensures that appeals and grievances are resolved timely... more |
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| Dec 21 | Nurse Medical Management (Job Family) | WellPoint | Albany, NY |
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Job Description: Responsible to collaborate with healthcare providers and members to ... accurate claims payment. May also manage appeals for services denied. Primary duties... more |
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| Dec 21 | Nurse Medical Mgt I (Job Family) | WellPoint | Newbury Park, CA |
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accurate claims payment. May also manage appeals for services denied. Primary duties may include, but are not limited to: Conducts pre-certification, concurrent, retrospective,... more |
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| Dec 21 | Nurse Medical Management (Job Family) - 43219 | WellPoint | Albany, NY |
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accurate claims payment. May also manage appeals for services denied. Primary duties may include, but are not limited to: Conducts pre-certification, concurrent, retrospective,... more |
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| Dec 21 | Nurse Medical Management (Job Family) - 43219 | WellPoint | Albany, NY |
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Nurse Medical Management (Job Family) - 43219 Location: NY-Albany Responsible to ... accurate claims payment. May also manage appeals for services denied. Primary duties... more |
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| Dec 21 | RN, Open Heart Recovery (CCR) | Charlotte Regional Medical Center | Punta Gorda, FL |
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Medical Center We know you by heart With a family-like atmosphere, current technology, ... unit in collaboration with the patient, family, and health care team. Directs and... more |
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| Dec 20 | Registered Nurse/RN/Nurse-Position (Quality Management Superviso | Los Angeles, CA | |
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Resolutions Job Title Registered Nurse/RN/Nurse-Position ... (Quality Management Supervisor) Category:Nurse: Family Practice/Internal... more |
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| Dec 19 | Nurse Appeals (Job Family) | WellPoint | Woodland Hills, CA |
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to investigate and process grievances and appeals requests from members and providers. ... of member and provider grievances and appeals. Reviews prospective, concurrent or... more |
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| Dec 19 | Nurse Appeals (Job Family) | WellPoint | Woodland Hills, CA |
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of member and provider grievances and appeals. Reviews prospective, concurrent or ... Medical Director for approval. Ensures that appeals and grievances are resolved timely... more |
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| Dec 19 | Nurse Medical Mgt I (Job Family) | WellPoint | Newbury Park, CA |
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Job Description: WellPoint is the nations leading health benefits insurer and a Fortune ... accurate claims payment. May also manage appeals for services denied. Primary duties... more |
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| Dec 19 | Nurse Reviewer | University of Massachusetts Medical School | Boston, MA |
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Title: Nurse Reviewer Job Family: Nursing Requisition Number: 08-1561 Salary ... and compliance with contract requirements. JOB DESCRIPTION: MAJOR RESPONSIBILITIES: *... more |
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| Dec 19 | Medical Director, UHC Health Services, East Coast Time Zone | UnitedHealth Group | Warwick, RI |
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and approaches. Although not a primary job function, care management medical ... such as pre-certification review, appeals and grievance adjudication, etc. more |
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| Dec 18 | Nurse Appeals (Job Family) - 43213SY | WellPoint | Woodland Hills, CA |
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to investigate and process grievances and appeals requests from members and providers. ... of member and provider grievances and appeals. Reviews prospective, concurrent or... more |
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| Dec 18 | Nurse Appeals (Job Family) - 43213SY | WellPoint | Woodland Hills, CA |
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Nurse Appeals (Job Family) - 43213SY Location: CA-Woodland Hills WellPointis the ... of member and provider grievances and appeals. Reviews prospective, concurrent or... more |
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| Dec 18 | Nurse Medical Mgt I (Job Family) - 43215SY | WellPoint | Newbury Park, CA |
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accurate claims payment. May also manage appeals for services denied. Primary duties may include, but are not limited to: Conducts pre-certification, concurrent, retrospective,... more |
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